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Table 5 Barriers and Facilitators for Cannabis Use Screening and Intervention ( N= 664)

From: Screening and managing cannabis use: comparing GP’s and nurses’ knowledge, beliefs, and behavior

Statement

GPs agreement n(%)

Nurses agreement n(%)

χ2(1)

Barriers

   

Do not have the skills to screen or provide an intervention

336 (67%)

124 (77%)

5.94

Cannabis use often is not the most important issue that needs to be addressed during a patient’s visit

286 (57%)

56 (35%)

23.80**

Patients may not be receptive to screening or intervention

279 (55%)

98 (61%)

1.45

Do not have time to screen or provide an intervention

242 (48%)

41 (25%)

25.56**

Do not have support from colleagues/organization to screen or provide an intervention

138 (27%)

55 (34%)

2.68

The effort required to motivate a cannabis user to quit is not justified by the likelihood of a positive outcome

101 (20%)

15 (9%)

9.80*

Do not have a personal interest in providing screening or treatment for cannabis use

95 (19%)

12 (7%)

11.78**

Do not have professional interest in providing screening or treatment for cannabis use

77 (15%)

13 (8%)

5.45

I do not want to attract more cannabis users to my clinic

76 (15%)

5 (3%)

16.41**

Most people who use cannabis do not need screening or treatment

30 (6%)

7 (4%)

0.61

Cannabis users are unpleasant to work with

24 (5%)

3 (2%)

2.64

Cannabis users should only be treated by specialists in the field

15 (3%)

18 (11%)

17.36**

Facilitators

   

More training

408 (81%)

144 (89%)

6.03

Access to up-to-date management guidelines and recommendations

396 (79%)

130 (81%)

0.30

Having more options for referrals

391 (78%)

88 (55%)

32.31**

Having more resources to assist me (e.g., web interventions)

315 (63%)

103 (81%)

0.10

Believing that screening and intervention would lead to positive outcomes

232 (46%)

67 (42%)

1.00

Believing that screening and intervention are clinically important

134 (27%)

51 (32%)

1.54

Nothing would facilitate the screening or intervention of cannabis use

6 (1%)

2 (1%)

<0.01

  1. Note. *p < 0.01, **p ≤ 0.001.